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OUR NUMBER ONE PRIORITY IS OUR PATIENT'S COMFORT.

Request An Appointment

Thank you for visiting our website and seeking to schedule an appointment to see Dr. DeMizio. You may request an appointment by completing the form below and we will get back in touch with promptly. Please do not use this form if you have an urgent medical problem or to re-schedule an existing appointment. In those cases, call 911 for an emergency situation or call our Bethesda office at 301-652-3888 or Germantown office at 301-528-5490 to re-schedule.

For new patients, we request you to print and fill out our new patient forms here Page 1 & Page 2, which will save you time at our office. We thank you again and look forward to seeing you soon!

First Name:
Phone Number:
Preferred Day:
New Patient:YesNo

Last Name:
Email Address:
Preferred Time:

How May We Help You:

Disclaimer: If you request an appointment or submit any other information online through our form, all your information is transmitted to our email system and is held in strictest confidence. Briefly describe your problem in the field above and we will gather all other necessary information either at our office or over the phone. Please do not submit any confidential information through this form, which may include your social security number, insurance information or any payment information. By submitting information through this form you acknowledge, read and accept this disclaimer for us to remain HIPAA compliant for patient information transmission.